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4426 Michael Point DrRESIDENT / OWNER , .,u,, Jr. Name: e S i m S rr Phone: Address I City / Zip: 7 ' / ' c 0 e - • ' n-t. ctri VC. CONTRACTOR _ Name: () 4 1 Otte . A { C t G C ■' rtice °: 11.1 2 S-1 --; Address: J ( i v �i.i g'i Cit at) ' S it . _ �Si S 3b33 State: irl Zip: 33 Phone: t Contact: Emaik • ; Y TYPE OF WORK PERMIT TYPE New V Replacement Additional Alteration Demolition Description of work: r - • • kI cari 1» rn4 (e, )ti. � `,�d`Cat a t$ Q 2 ,s �a+x e ' Q ( - �,,y s ro , . c , �'€ -� ay�� 'dy �- 3 '' t i � �� s- ,� -� j'}�. 8 ,, 9. ` V4�j jAs`A#(Y P d^'ft 1�4 ,�A �kj„d.i. h'� c {�. A . 6 B f F J ».uuc /CKaw' fa'C' © °� , A4 . 1. C 6 2 Y � et � a Z , � " '''jj ��' '�`{. � y '` y � y � YY3.w- '::- v' u.__..v RESIDENTIAL V Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install!_ Remove) Other "' When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector $.50 State Surcharge) C "'iv $.50 State Surcharge) $ •t7 TOTAL FEE RESIDENTIAL FEES; $50.50 Minimum Add -on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is less than $1,000, - If Permit EsA is > $1,000, surcharge = $ Surcharge $1,000 Permit Fee (i.e. a $1,001- $ TOTAL FEE 11/24/2010 WED 11:50 FAX 6514378831 Date: Tenant: City of Eapt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694 C SimS CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.q.oherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wit the approved plan in the case of work which requires a review and approval of plans. � Ap icant's Printed Name t 2010 MECHANICAL PERMIT APPLICATION 'Y1tChae1 ,�0[h'` C.ir• Site Address: Use BLUE or BLACK Ink HERNEW [a 002/002 Permit #: \--CO Permit Fee: Date Received: Staff: • For Office. Use I city Of Eapfl I Permit / I a ~ I 3830 Pilot Knob Road I Permit Fee: I i I Eagan IVIN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I 1 2008 RESIDENTIAL 9UILDING PERMIT AP LI~AT N ~l2 1, ~~z~ 5° r Date: Site Address: L 72- y X1,7 / Tenant: Suite RESIDENT / OWNER Name; Phone: Address / City / Zip: Applicant is; Owner Contractor TYPE OF WORK Description of work: Construction Cost:! G Multi-Family i CONTRACTOR Name: ZZ5 jy,/, License Address: r f~ 292) City: State: hw Zip: JJ%,l~_ r Phone: _4)12-3, _2,y Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted I subi-nission type) Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Wechanical Contractor: Phone: Sewer & Water Contractor: Phone: IUOTE: Plar►s and su ~ ppo►iirr documents thaf you su,~rrrlt are cc~nsidei°r~d to be public ir►~®r~ratior~: Poriioirs o~ i the ir►formation Wray k~e classified as nr~~7~puJ~lic if you provide specific reasons that t~rduld permit the City to .conclude that the are trade secrets: iereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of j 3gan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in :cordance with the approved plan in the case o work which requires a review and approval o 1 )plicant's Printed Name Applicant' Signature Page f